ghmccart

sounds like a protamine reaction that i have seen in the past, interesting that the epi was at just 0.2 mcg/ min, could have gone up to 10 eh>? and the vasso could be at 0.4.. interesting though

I wonder about using nicardipine for vasodilation, never used metop gtt, wouldn't, that night RN let it fly way to long, but good job dealing w it. thats why good thorough saftey checks always pay off!

it sounds like you are at one of those crossroads in life where you will be making a choice which will take you down two different paths. If you take the ethical stance in the sake of pt safety and safe practice for you it could mean your job at wor...

this positive inotrope is also a prodysrhthmic so watch for that! it vasodilates especially in the pulmonary vasculature, and is often used for folks who have pulmonary hypertension and are in need of a medication to help with contractility, lots of...

we turn our patient with TVP's per policy q2 hrs, just make sure that their line is secure and locked, watch it close, and you know you dont have to turn them too much, just a little but to shift the weight of the pt, I learned that from our wound/sk...

if we have MT bleeding > 100 ml/hr x2 hr or >200 ml/hr x1 we call, then most likely check serial coags/cbc, consider underlying cause medical or surgical, then consider tight BP control, consider adding 10 of peep, focused med management etc. ...

I pull mediastinal tubes in my OHS patients, not pleural tubes however. Try to pay attention to the difference on XR or communicate with doc.

I was A new grad into ICU two years ago, and have since trained into the CVICU, I use Bojar's manual of perioperative care in adult cardiac surgery, fouth addition. If you are looking for a complete cardiac ref. this is it. it is detailed enough fo...

what an experience, First off, if you still like being a nurse, and you want to, then dont let one experience where you DID advocate for the pt get you too down, but I too would have felt bad about that situation. All of the instict advice you got...

in one word optimize this pt maybe has an ef of 23 lets say, bad pump=all the things you listed. diuretic would be good as a part of the therapy, but this pt could possible benefit from an inotropic medication like dobutamine or milrinone. incre...

just like most things in real critical care, it depends on the situation. could be 1:1 if unstable, or 1:2, I would not do more than that

one bag w/three ring binder for educational stuff, couple crit care refs, chapstick etc, gum for bad breath, other things work in and out of the rotation. on my person I carry crit care ref. and very important to me is my little not pad that I write ...

hi, I graduated in may 06 and went into a rural hospital icu new grad program. included critical care course, 12L, hemodynamic course/test, IABP classes. I was with another nurse for around 6 months and let on my own only as I felt it was time. I ...

my concern is that you did not look up the medication and anticipate that before you gave it, it is a serious cardiac medication and should be given by knowledgable hands. asking us hear on this forum is ok, but man you need to empower your self.

msybe the pts MI allthough inferior maybe stable and not in need of so many fluids, and with the mitral regurg. preload and pacing are still good for RV MI's

It is important to know the physiological diff between cardiogenic shock, and septic scock, and throw in anaphylactic, hypovolemic, and neurgenic shock. taking the time to get these straight in your head is a good idea, even if you wont need the inf...

god will be with you , you dont need to worry about what an uncompassionate person thinks or says about you, they need company in their misery

assess frequently to head off the nasty complications, and while you may work with them very frequently do not forget the seriousness of them, and the risks they carry, imagine it was in you.

how do the labs look? na+, h/h, bun, etc? help w/fluid status and r side consideration. w/2 vaso dilators running maybe only one would be able to manage sbp while allowing for an improved dbp. i would like to know what a good assessment looked like. ...

someone earlier said it perfectly. when in the wedge position and with an open mital valve you get a clear shot to the LV. SO how bout this, with out the ballon in wedge how can we tell roughly what the LV is doing pressure wise? PAD is essentialy th...

what do you mean by that, do you mean bacteremia, sepsis, severe sepsis, septic shock? that is a veryt broad and lay way to ask that question, perhaps you can focus it. :monkeydance:

why dont you just look it up and empower yourself

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dont want the stent to occlude do you. I would rather give blood and fluid until bleed controlled, what about surgical repair. I always tell me PCI"D gramma, don't stop taking the plavix

study your meds, and research them, it is up to you